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Superior perianastomotic fluid collection in the early postoperative period affects pseudoaneurysm occurrence after pancreaticoduodenectomy.
http://hdl.handle.net/10422/00012887
http://hdl.handle.net/10422/00012887ec5a9843-7276-4753-845f-e7982cf957ce
| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2021-01-14 | |||||
| タイトル | ||||||
| タイトル | Superior perianastomotic fluid collection in the early postoperative period affects pseudoaneurysm occurrence after pancreaticoduodenectomy. | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Computed tomography | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Falciform ligament | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Perianastomotic fluid collection | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Pseudoaneurysm, pancreaticoduodenectomy | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| アクセス権 | ||||||
| アクセス権 | metadata only access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
| 著者 |
MAEHIRA, Hiromitsu
× MAEHIRA, Hiromitsu× IIDA, Hiroya× MORI, Haruki× YASUKAWA, Daiki× MAEKAWA, Takeru× MURAMOTO, Keiji× TAKEBAYASHI, Katsushi× KAIDA, Sachiko× MIYAKE, Toru× TANI, Masaji |
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| 著者別名 |
前平, 博充
× 前平, 博充× 飯田, 洋也× 森, 治樹× 安川, 大貴× 前川, 毅× 村本, 圭史× 竹林, 克士× 貝田, 佐知子× 三宅, 亨× 谷, 眞至 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Purpose: Pseudoaneurysm (PA) after pancreaticoduodenectomy (PD) is a harmful complication due to postoperative pancreatic fistula. However, the preventive method for PA is unclear. This study aimed to assess the risk factors for PA after PD and to evaluate the clinical features of patients with PA. |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Methods: Medical records of 54 patients who underwent PD and developed clinically relevant postoperative pancreatic fistula (POPF) were retrospectively reviewed. We evaluated postoperative computed tomography (CT) findings, including the perianastomotic fluid collection (PFC) location on postoperative day 4. Perioperative findings and postoperative CT findings were compared between patients with and without PA after PD. |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Results: The PA group included nine patients (17%). The median postoperative day of diagnosis of PA was 17 (range, 7-33). The PA locations were the gastroduodenal artery stump (n = 3), dorsal pancreatic artery (DPA) stump from the common hepatic artery (n = 4), DPA stump from the replaced right hepatic artery (n = 1), and inferior pancreaticoduodenal artery stump (n = 1). The prevalence of falciform ligament wrap to the hepatic artery was lower (33% vs. 78%, p = 0.014) and superior PFC prevalence was higher (100% vs. 58%, p = 0.019) in the PA group than in the non-PA group. Superior PFC reached the dorsal part of the caudate lobe of the liver in all patients with PA. Furthermore, all PAs occurred at the arteries that could not be wrapped by the falciform ligament. |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Conclusion: Prevention of superior PFC and falciform ligament wrapping may reduce PA occurrence after PD with clinically relevant POPF. |
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| 書誌情報 |
en : Langenbeck's Archives of Surgery 発行日 2021-01-03 |
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| 出版者 | ||||||
| 出版者 | Springer Science and Business Media Deutschland GmbH | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1435-2443 | |||||
| PMID | ||||||
| 識別子タイプ | PMID | |||||
| 関連識別子 | 33389107 | |||||
| DOI | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1007/s00423-020-02072-x | |||||
| 関連名称 | 10.1007/s00423-020-02072-x | |||||
| 権利 | ||||||
| 権利情報 | ©The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021 | |||||
| 資源タイプ | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal Article | |||||
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Cite as
MAEHIRA, Hiromitsu, IIDA, Hiroya, MORI, Haruki, YASUKAWA, Daiki, MAEKAWA, Takeru, MURAMOTO, Keiji, TAKEBAYASHI, Katsushi, KAIDA, Sachiko, MIYAKE, Toru, TANI, Masaji, 2021, Superior perianastomotic fluid collection in the early postoperative period affects pseudoaneurysm occurrence after pancreaticoduodenectomy.: Springer Science and Business Media Deutschland GmbH.
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